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Surgical management of Juxtafacet cysts in the lumbar spine.
Int J Surg. 2016 May; 29:9-11.IJ

Abstract

INTRODUCTION

Juxtafacet cysts of the lumbar spine are extradural degenerative lesions associated with symptoms of lower back pain and radiculopathy. The aim of this study is to evaluate the efficacy of surgery and address controversial issues in the treatment of symptomatic juxta facet cysts in the Neurosurgical Department of our hospital and review of the literature.

METHODS

Data from seven patients (age range 58-68 years, mean age 63 years) with low back and radicular leg pain due to a lumbar facet joint cyst were retrospectively analyzed. Demographic data, cyst level, presence of concominant local pathology, treatment and results of treatment were recorded. After surgery there was no case of a recurrent cyst during the follow-up period. The mean follow-up period of patients at the time of this study was 4 years.

RESULTS

All patients had back pain, while five also experienced unilateral radicular leg pain and two had bilateral leg pain. Four patients had neurogenic claudication. MRI identified the cyst and highlighted underlying pathology in all cases. All patients underwent surgical cyst excision. Post-operatively, all patients showed a total resolution of symptoms with sustained benefit at final evaluation.

CONCLUSION

Surgery is a safe and effective treatment for lumbar juxtafacet cysts.

Authors+Show Affiliations

Department of Neurosurgery, İzmir Training and Research Hospital, İzmir, Turkey. Electronic address: alayurt@superonline.com.Department of Neurosurgery, Şehit Kamil Devlet Hastenesi, Gaziantep, Turkey.Department of Neurosurgery, İzmir Training and Research Hospital, İzmir, Turkey.Department of Neurosurgery, İzmir Training and Research Hospital, İzmir, Turkey.Department of Neurosurgery, İzmir Training and Research Hospital, İzmir, Turkey.Department of Neurosurgery, İzmir Training and Research Hospital, İzmir, Turkey.Department of Neurosurgery, İzmir Training and Research Hospital, İzmir, Turkey.Department of Neurosurgery, İzmir Training and Research Hospital, İzmir, Turkey.

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

26971829

Citation

Yurt, Alaattin, et al. "Surgical Management of Juxtafacet Cysts in the Lumbar Spine." International Journal of Surgery (London, England), vol. 29, 2016, pp. 9-11.
Yurt A, Seçer M, Aydın M, et al. Surgical management of Juxtafacet cysts in the lumbar spine. Int J Surg. 2016;29:9-11.
Yurt, A., Seçer, M., Aydın, M., Akçay, E., Ertürk, A. R., Akkol, İ., Yılmaz, H., & Palaz, M. N. (2016). Surgical management of Juxtafacet cysts in the lumbar spine. International Journal of Surgery (London, England), 29, 9-11. https://doi.org/10.1016/j.ijsu.2016.03.003
Yurt A, et al. Surgical Management of Juxtafacet Cysts in the Lumbar Spine. Int J Surg. 2016;29:9-11. PubMed PMID: 26971829.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical management of Juxtafacet cysts in the lumbar spine. AU - Yurt,Alaattin, AU - Seçer,Mehmet, AU - Aydın,Murat, AU - Akçay,Emrah, AU - Ertürk,Ali Rıza, AU - Akkol,İsmail, AU - Yılmaz,Hakan, AU - Palaz,Mahmut Necdet, Y1 - 2016/03/10/ PY - 2015/11/05/received PY - 2016/02/22/revised PY - 2016/03/05/accepted PY - 2016/3/15/entrez PY - 2016/3/15/pubmed PY - 2017/3/24/medline KW - Facet joint KW - Ganglion cyst KW - Juxtafacet cyst KW - Surgical treatment KW - Synovial cyst SP - 9 EP - 11 JF - International journal of surgery (London, England) JO - Int J Surg VL - 29 N2 - INTRODUCTION: Juxtafacet cysts of the lumbar spine are extradural degenerative lesions associated with symptoms of lower back pain and radiculopathy. The aim of this study is to evaluate the efficacy of surgery and address controversial issues in the treatment of symptomatic juxta facet cysts in the Neurosurgical Department of our hospital and review of the literature. METHODS: Data from seven patients (age range 58-68 years, mean age 63 years) with low back and radicular leg pain due to a lumbar facet joint cyst were retrospectively analyzed. Demographic data, cyst level, presence of concominant local pathology, treatment and results of treatment were recorded. After surgery there was no case of a recurrent cyst during the follow-up period. The mean follow-up period of patients at the time of this study was 4 years. RESULTS: All patients had back pain, while five also experienced unilateral radicular leg pain and two had bilateral leg pain. Four patients had neurogenic claudication. MRI identified the cyst and highlighted underlying pathology in all cases. All patients underwent surgical cyst excision. Post-operatively, all patients showed a total resolution of symptoms with sustained benefit at final evaluation. CONCLUSION: Surgery is a safe and effective treatment for lumbar juxtafacet cysts. SN - 1743-9159 UR - https://www.unboundmedicine.com/medline/citation/26971829/Surgical_management_of_Juxtafacet_cysts_in_the_lumbar_spine_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1743-9191(16)00210-7 DB - PRIME DP - Unbound Medicine ER -